Individual provider Active NPI

Melissa Anne Hoefer-Kravagna, MSW, LICSW

  • Clinical Social Worker
  • Tacoma, WA
National Provider Identifier
1639454267
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60238361 Issued in WA
Practice address
612 N 11TH St
Tacoma, WA 98403-2507
Phone
(253) 355-5320
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LW60238361 WA
Clinical Social Worker 1041C0700X LW60238361 WA Primary

Addresses

Primary practice location

612 N 11TH St
Tacoma, WA 98403-2507

Mailing address

612 N 11TH St
Tacoma, WA 98403-2507
Phone (253) 355-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225002189 WA Practitioner - Clinical Social Worker 1052541794 Reassigns benefits to 1 organization
Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 N 11TH St
Tacoma, WA 98403-2507
Phone (253) 355-5320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW60238361WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 18, 2013 Accepting new patients
Multicare Health System CurrentSince Nov 18, 2013 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

325 E Pioneer
Puyallup, WA 98372
Phone (253) 445-8120

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1639454267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N 11TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032507",
            "telephone_number": "253-355-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N 11TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984032507",
            "telephone_number": "253-355-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEFER-KRAVAGNA",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60238361",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60238361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.